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Digestive Disease Interventions 2021; 05(01): 055-069
DOI: 10.1055/s-0040-1721785
Review Article

Multidisciplinary Management of Postoperative Pancreatic Fistula

Alexa Glencer
1   Department of Surgery, University of California San Francisco, San Francisco, California
,
Kim Kirkwood
1   Department of Surgery, University of California San Francisco, San Francisco, California
,
Adam Schwertner
2   Department of Radiology, University of California San Francisco, San Francisco, California
,
Cody Keller
3   Department of Surgery, Stanford University, Stanford, California
,
Mustafa Arain
4   Department of Gastroenterology, University of California San Francisco, San Francisco, California
,
Patrick Avila
4   Department of Gastroenterology, University of California San Francisco, San Francisco, California
,
David M. Hovsepian
5   Department of Radiology, Stanford University, Stanford, California
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Abstract

Postoperative pancreatic fistulas are complex, challenging problems that often take weeks, months, or longer to resolve. Multiple interventions may be required to achieve a successful outcome. As such, resolution typically involves a multidisciplinary approach by a team whose skills include abdominal imaging, specialized surgery, advanced endoscopy, and interventional radiology. Intensive resources and time are often required, which impacts both patients and their caregivers. While treatment(s) continue to improve, a primary goal of research efforts in this area is the prevention of this significant source of postoperative morbidity, mortality, and economic strain.

Keywords

postoperative complications - pancreas - pancreatic fistula - pancreatic leak


Publication History

Received: 08 September 2020

Accepted: 12 November 2020

Article published online:
17 February 2021

© 2021. Thieme. All rights reserved.

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333 Seventh Avenue, 18th Floor, New York, NY 10001, USA

 

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